Lizette Manyi Ebot, PMHNP-BC | |
4810 Heisman Dr, Wichita Falls, TX 76310-2838 | |
(913) 219-4321 | |
Not Available |
Full Name | Lizette Manyi Ebot |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 4 Years |
Location | 4810 Heisman Dr, Wichita Falls, Texas |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508448739 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 1034060 (Texas) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Adam S Butera Md Pa | 6507961000 | 6 |
Brightside Medical Pc | 6608262464 | 45 |
Entity Name | Adam S Butera Md Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1992865992 PECOS PAC ID: 6507961000 Enrollment ID: O20090218000624 |
Entity Name | Brightside Medical Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230403000549 |
Mailing Address | Practice Location Address |
---|---|
Lizette Manyi Ebot, PMHNP-BC 4810 Heisman Dr, Wichita Falls, TX 76310-2838 Ph: (913) 219-4321 | Lizette Manyi Ebot, PMHNP-BC 4810 Heisman Dr, Wichita Falls, TX 76310-2838 Ph: (913) 219-4321 |
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